目的:二氟化银(SDF)作为抗过敏和抗龋齿剂在牙科中得到了普及。这项研究旨在回顾SDF治疗的术后指导,并检查支持这些指导治疗牙本质过敏和龋齿控制的证据。
方法:两个独立的审阅者搜索了三个电子数据库(EMBASE,PubMed,和WebofScience)以确定使用SDF治疗牙本质过敏和龋齿的临床研究。此外,他们在谷歌Chrome上搜索制造商的信息,卫生部,国家牙科组织,权威的牙科组织,和大学对这些疾病的SDF治疗。提取了术后说明的数据,研究了其对牙本质过敏症治疗和龋齿控制的影响。
方法:本综述包括74项临床研究,来自SDF制造商的11套说明,和国家牙科组织的六项建议,卫生部和大学。在包括的记录中,50项临床研究,两家制造商,一个卫生部门提到了SDF治疗的术后指导。建议各不相同,不建议具体指示,立即冲洗,避免进食或饮水30至60分钟,甚至避免刷牙,直到SDF治疗后的第二天。值得注意的是,没有临床研究报告这些术后指导对SDF治疗过敏或龋齿的影响.
结论:本范围综述强调了在牙本质过敏和龋齿控制方面,SDF治疗的术后指导不一致。此外,缺乏证据支持这些指示的有效性。
结论:没有证据支持SDF治疗牙本质过敏和龋齿的术后指导。有必要进行研究,为临床医生在临床实践中使用SDF提供指导。
Silver diamine fluoride (SDF) has gained popularity in dentistry as an anti-hypersensitive and anti-caries agent. This study aims to
review the postoperative instructions for SDF therapy and examine the evidence supporting these instructions in treating dentine hypersensitivity and caries control.
Two independent reviewers searched three electronic databases (EMBASE, PubMed, and Web of Science) to identify clinical studies that used SDF to treat dentine hypersensitivity and dental caries. Additionally, they searched Google Chrome for information from manufacturers, the department of health, national dental organisations, authoritative dental organisations, and universities regarding SDF therapy for these conditions. Data on postoperative instructions were extracted, and their impact on the treatment of dentine hypersensitivity and caries control was investigated.
This
review included 74 clinical studies, 11 sets of instructions from SDF manufacturers, and six recommendations from national dental organisations, departments of health and universities. Amongst the included records, 50 clinical studies, two manufacturers, and one department of health mentioned postoperative instructions for SDF therapy. The recommendations varied, from suggesting no specific instructions, immediate rinsing, refraining from eating or drinking for 30 to 60 min, and even avoiding brushing until the next day after SDF therapy. Notably, no clinical studies reported the effects of these postoperative instructions on the SDF treatment of dentine hypersensitivity or dental caries.
This scoping
review highlights the presence of inconsistent postoperative instructions for SDF therapy in the treatment of dentine hypersensitivity and caries control. Furthermore, there is a lack of evidence supporting the effectiveness of these instructions.
No evidence supports the postoperative instructions for SDF therapy for managing dentine hypersensitivity and dental caries. Studies are necessary to provide guidance for clinicians using SDF in their clinical practice.